Transcript Highlights:

• The language proposed in the bill is that the State Board of Education would develop a list of eligible
• The proposed language in the bill is that the State Board of Education would develop a list of eligible
• The State Board would then take on a responsibility to identify, let's call them eligible assessments
• So we would have a state contract for MAP and then we would have an eligible i-Ready assessment.
• The State Board could identify that i-Ready is an eligible assessment.

Bills: AB386

Keywords: AB386, Washoe County School District, reading assessment, literacy, elementary school, pupil assessment, statewide assessment, alternative assessment, reading proficiency, standards-based testing, valid and reliable test, State Board of Education, Department of Education, pilot program, school testing, assessment equivalency, education grant, Nevada education, NRS 388.157, school accountability

Transcript Highlights:

• So there were areas of the state and also different types of projects that initially weren't eligible
• So there were areas of the state and also different types of projects that initially weren't eligible
• And from what you said, you no longer have to be in a B-MAP area to be eligible for any of those grants
• Some of the nutrient reductions related to agriculture, and so these are specifically also eligible for
• for the grants under DEP, or are you eligible under FDACS?

Summary: The Committee on Environment and Natural Resources convened with a quorum present, heard opening remarks from Chair Rodriguez and member introductions, and discussed broad priorities including water quality, climate change, budget oversight, and accountability for environmental investments. Members emphasized concerns about nutrient pollution, springs, Lake Okeechobee, the Everglades, and the need for better data and measurable results. The committee then received a presentation from DEP Deputy Secretary Adam Blaylock on the state’s water quality restoration framework. He explained how water quality standards, total maximum daily loads (TMDLs), Basin Management Action Plans (BMAPs), and reasonable assurance plans work together to address impaired waters, and noted that BMAPs are updated every five years with annual reviews in between. He also described recent statutory changes requiring five-year milestones, restrictions on new septic systems in certain areas, and public-facing data tools to track projects and water quality trends. Members questioned whether BMAPs are producing enough improvement and whether the five-year update cycle is too slow. Blaylock said results can take years because of project lag and environmental variability, but that the department can adjust plans if data show they are not working. He also highlighted $2.9 billion in statewide water quality funding since 2019, nearly 1,100 funded projects, and a $1.1 billion water quality improvement grant program that now covers impaired waters beyond BMAP areas. The committee discussed agricultural projects, DEP and FDACS funding roles, and a new dashboard and centralized monitoring platform under development. No formal votes or other actions were taken, and the meeting ended with adjournment moved by the vice chair.

Transcript Highlights:

• Those systems are also now reducing their eligibility criteria, which is going to limit the pool of clients
• There are parameters that determine whether you're eligible.
• The Legislature created the Step Into Success Pilot Program in 2023 to support eligible foster youth
• The Legislature created the Step Into Success Pilot Program in 2023 to support eligible foster youth
• The legislature created the Step Into Success Pilot Program in 2023 to support eligible foster youth

Summary: The Appropriations Committee on Health and Human Services heard public comment on several health and human services funding concerns before moving through a series of bills. Testimony at the start focused on the AIDS Drug Assistance Program, with a client warning that proposed changes to eligibility and drug access could disrupt care for thousands of people living with HIV/AIDS, and urging the Legislature to intervene. Another speaker asked for support for the iBudget waiver, saying provider costs have risen and requesting about a 7% increase for direct support professionals to help stabilize the developmental disabilities workforce. The committee then unanimously reported favorably several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7, based on drowning-prevention recommendations. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligned reporting dates with the House version. SB 1718 changed the definition of when an adult visitor in an out-of-home placement becomes a non-visitor, reducing repeated background checks, made the Step Into Success pilot permanent, adjusted foster youth stipends, and created a best-practices program within the Florida Institute for Child Welfare. The committee also approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials provided to new parents and requires hospitals and birthing centers to document compliance; members highlighted bathtub drownings as a key concern. SB 96 expanded eligibility for the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level, while an amendment removed the bill’s specific appropriation so funding can be handled in the budget process. SB 340 required nursing students to complete a two-hour human trafficking course before taking the NCLEX. SB 1480 created a grandfathering process for certain health care providers in federally designated areas of critical need if an area is de-designated, to avoid disrupting patient-provider relationships. All bills were reported favorably, and the committee adjourned at the end of the agenda.

Transcript Highlights:

• When they register, they're either going to be eligible or not eligible to vote, and we don't have separate
• So if that person—so you're saying they've made it through the eligibility process.
• So what I'm hearing is that person is eligible.
• Voter eligibility is a determination that we make and that our supervisors ultimately make.
• AAA designation for failures in eligibility determination or budget management.

Summary: The Florida Senate convened with a quorum, opened with a prayer and Pledge of Allegiance, and heard several member introductions recognizing guests, interns, public servants, and a resolution honoring Indiana University quarterback Fernando Mendoza for winning the Heisman Trophy. The chamber then moved to the special order calendar and took up a series of bills, with some measures temporarily postponed and others advanced after brief debate and, in several cases, substitution of House companions for Senate bills. The first major bill passed was CS/CS/HB 355 on health care patient protection, which requires hospitals with emergency departments to have pediatric emergency care policies, training, equipment, and a designated pediatric coordinator; it passed 36-0. The Senate also passed CS/HB 1113 on public records, expanding confidentiality protections for victims and temporarily protecting the name of a law enforcement officer who becomes a victim in the line of duty; it passed 33-4. CS/CS/HB 1085 on local government cybersecurity was amended to place the program under the Florida Digital Service and to adjust grant timing, then passed 37-0. CS/CS/HB 925 on clerks of court passed 38-0 after amendments affecting revenue retention, legal notices, traffic citation distributions, and municipal fee sharing. CS/CS/HB 679 on trademark registration modernization and CS/CS/HB 589 on septic permit timing also passed unanimously. The most extensive debate centered on CS/CS/HB 991 / SB 1334, an elections bill that would use Real ID data to verify citizenship, change voter ID rules, alter candidate qualifying requirements, and revise election administration procedures. Senators offered and debated numerous amendments on documentation fees, senior exemptions, human review versus automated systems, student and retirement-center IDs, and effective dates; most were defeated, though one amendment adding stock-trading disclosure language for candidates was adopted. The bill’s sponsor cited election-crimes reports and specific prosecutions involving non-citizens as justification for the measure, while opponents argued it could disenfranchise eligible voters, especially students and seniors. The transcript ends during continued questioning and debate on that elections bill, before final disposition is shown.

Transcript Highlights:

• make sure that people who are eligible make sure that people who are eligible and<00:37:32.400><
• continuous coverage and the eligibility continuous coverage and the eligibility level<01:17:15.880
• Will no longer be eligible for this type of funding.
• <02:32:36.680> side seeing AI is in the eligibility side seeing AI is in the eligibility side
• <03:11:51.640> groups<03:11:52.359> over eligibility groups over eligibility groups over

Keywords: 928, house, all

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.

Transcript Highlights:

• Eligibility is another.
• Um so you know Eligibility is another.
• <02:38:49.280> as the parameters um for eligibility as the parameters um for eligibility as
• dropped eligibility dropped eligibility giving<02:41:13.600> the<02:41:13.840> parameters
• you no longer meet the eligibility you no longer meet the eligibility criteria<02:53:25.760>

Keywords: 1191, senate, all

Transcript Highlights:

• it say in the statute that all costs of a project are eligible?
• Sponsors in good standing are eligible for our cost share.
• Sponsors in good standing are eligible for our cost share.
• Our interest rates at below market levels to eligible borrowers.
• And we do cap our loan forgiveness at 75% of eligible costs.

Summary: The Water Topics Overview Committee met to receive interim status updates on several water-related studies and Department of Water Resources projects. The committee approved the March 26, 2026 minutes, observed a moment of silence for the late Representative Conmy, and then heard updates on the watershed management study and the stormwater/wastewater study. Staff reported that the committee had already received the testimony contemplated in the study plans, including input from state agencies, local governments, and out-of-state entities, and that any further action would be at the committee’s discretion. The Department of Water Resources then provided project and budget updates on NAWS and the Southwest Pipeline Project. Reese reported NAWS is expected to serve about 81,000 users, with a total projected cost of about $571 million and about $96 million remaining, while the Southwest Pipeline Project is estimated at $1.06 billion total with about $409 million remaining. Members asked about funding sources, capacity needs, and whether current and future construction is being designed for increased demand; department staff said current work is designed for ultimate capacity, but some future components may need redesign based on new requests. The committee also discussed local cost shares, Minot’s role in NAWS funding, and whether the system is adequate for peak demand. A major portion of the meeting focused on the department’s cash management, carryover, and long-term water funding outlook. The department said Resources Trust Fund revenues are tied to oil extraction taxes and are affected by stripper well exemptions and future oil price declines. Members expressed concern about large carryover balances and whether the state is obligating more money than can realistically be spent in a biennium. The department reported about $340.6 million in remaining carryover and said it is trying to reduce that through a two-tier pre-construction/construction process and closer project vetting. The department also summarized the Deloitte studies on regional governance and finance and on cost-share policy. Stakeholders generally favored keeping the current governance structures for NAWS and Southwest with improvements, while Red River stakeholders leaned toward a different option; the department said it will bring an implementation plan back in September. On cost share, Deloitte’s recommendations would reduce some percentages, prioritize projects differently, and use other measures to close a projected long-term funding gap. Members debated affordability, local burden, deferred maintenance, and whether statutory changes may be needed to allow the commission more flexibility in prioritizing and funding projects. No formal votes or final actions were taken beyond approving the minutes and receiving the updates.

Transcript Highlights:

• They have financial eligibility. They have medical eligibility.
• So you've got the medical eligibility, the financial eligibility.
• with DCBS also doing an eligibility with DCBS also doing an eligibility review<01:05:26.960>
• <01:15:51.679> and provide some clarity on eligibility and provide some clarity on eligibility
• > the<01:24:56.239> waiver Medicaid eligibility and the waiver Medicaid eligibility and

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• . eligibility. eligibility.
• unemployment, um they may be eligible. unemployment, um they may be eligible.
• weren't eligible for regular UI. weren't eligible for regular UI.
• So they had some UI eligibility, but they weren't eligible for PUA.
• And the GAO report eligibility.

Keywords: 1183, house

Transcript Highlights:

• As a result, this bill would disproportionately impact younger voters who are otherwise fully eligible
• <00:09:12.480> We've fully eligible to participate. We've fully eligible to participate.
• rights of a large number of eligible rights of a large number of eligible voters<00:09:26.440>
• the impact on real eligible voters would be<00:09:40.400> immediate.
• an administrative hurdle onto eligible an administrative hurdle onto eligible voters<00:49:29.760

Keywords: 1189, house, all

Transcript Highlights:

• determinations and doing more frequent eligibility determinations, is, you know, we don't want to fall
• long-term care eligibility long-term care eligibility determinations<00:26:58.960> doing<
• they're um if they're uh still eligible they're um if they're uh still eligible um<00:31:12.080>
• The way it's currently structured, they would need to comply each month to maintain their eligibility
• The way it's currently structured, they would need to comply each month to maintain their eligibility

Keywords: 1189, house, all

Transcript Highlights:

• > for We are determining eligibility for We are determining eligibility for children.<01:17:38.480
• > and<01:18:22.880> everything the other eligibility and everything the other eligibility
• >> Correct. any determining of eligibility >> Correct. any determining of eligibility
• <02:31:44.800> children's directly for TANF eligible children's directly for TANF eligible
• So, a portion of their eligibility.

Keywords: 1189, house, all

Summary: House Finance Division 3 met in work session and opened with procedural remarks from the chair about the committee’s schedule, deadlines, and recommendation options, noting the meeting was advisory and no votes were expected. The first bill discussed, House Bill 1569, concerned repealing the directive to sell the Anna Philbrook Center for Children property in Concord. Testimony from DHHS and New Hampshire Hospital focused on whether the property could be subdivided, the relationship to Senate Bill 572, the status of the city of Concord’s first right of refusal, and the practical effects of a sale. Witnesses said the $5 million sale estimate was a budget assumption, that moving staff and equipment would create some relocation costs, and that the center had required significant recent maintenance and renovation spending. Members also discussed the number of transitional housing beds at the site, the temporary nature of those beds, and whether the property should remain available given hospital workforce and service needs. The committee then turned to House Bill 661, which had been recommitted for further review after new information emerged. The chair summarized federal developments, including a December 2025 ACF letter and a related executive order, as well as a federal HHS press release about states diverting foster youths’ Social Security survivor benefits. Representative Walner explained that amendment 3055H had been drafted to move the bill forward in smaller steps, with a fiscal note requested on the amendment because the original bill was viewed as too large and expensive. Members discussed whether the committee had received copies of the amendment and whether federal guidance or funding had changed the policy landscape. The discussion also included broader questions about foster youth benefits and whether federal action would support state implementation. One member cited ACF language stating that only 11 states had enacted policies to stop interception of survivor benefits and that technical assistance would be available to the remaining states. The meeting remained in work-session mode throughout, with no votes taken and no final recommendations made during the portion provided. The chair indicated the committee could return to the bills later in the month.

Transcript Highlights:

• The second piece is they don't know they're eligible for early intervention.
• Head Start-eligible children are among the most vulnerable in the Commonwealth.
• It would restore presumptive eligibility for families who appear to be eligible but don't have all documentation
• There have always been strict eligibility requirements.
• It would require the EOHLC to use existing state systems to verify eligibility.

Keywords: 995, all

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• So this sort of eligibility rules.
• add payments made on behalf of eligible add payments made on behalf of eligible families<01:08:32.719
• and use that in all places where they talk about ages eligible.
• Note that funds should not jeopardize eligibility for other public assistance benefits.
• Make a correction to a data eligible.

Bills: HB2116, HB1879, HB2214, HB2310, HB2168, HB2427, HB2560, HB1596, HB2197, HB2498, HB2167

Keywords: grants, community engagement, nonprofit organizations, federal assistance, volunteering, youth transit, public transportation, subsidized transit, environment, energy independence, affordable transportation, Hawaii, diaper tax credit, families, low-income, childcare, health, Hawaii Department of Human Services, DHS, emergency appropriation

Summary: The committee heard testimony on several measures related to human services, homelessness, transit, and family supports. HB 2116 HD1, concerning grants from the Office of Community Services to nonprofits providing training and volunteerism opportunities, drew strong support from Catholic Charities Hawaii, Hawaii Children’s Action Network Speaks, and multiple organizations in written testimony. Supporters said the bill would help vulnerable people affected by federal program changes and cuts by connecting them to reintegration and support services. HB 1879 HD1, establishing a subsidized youth transit program coordinated with counties, received extensive testimony in support from the Department of Health, Department of Taxation, Climate Change Mitigation and Adaptation Commission, Aloha United Way, Hawaii Bicycling League, Hawaii Appleseed, Hawaii State Youth Commission, Hawaii Public Health Institute, Greenpeace Hawaii, Hawaii Youth Transportation Council, and others. Testifiers emphasized equity, school attendance, reduced transportation costs, climate benefits, and broader access for youth. Several witnesses urged amendments to make the program universal rather than means-tested, and committee discussion noted implementation questions for neighbor islands and rural areas. HB 2214, creating a refundable diaper tax credit for low-income families with children age four and under, was supported by the Hawaii Diaper Bank, Hawaii Children’s Action Network Speaks, and several other organizations. The Department of Taxation recommended making the credit non-refundable and clarifying definitions to aid administration, while supporters argued refundability was important for low-income families who may owe little or no income tax. HB 2310, an emergency appropriation to replenish DHS funds used to provide SNAP benefits during a federal shutdown, also drew broad support from DHS, Catholic Charities, Hawaii Public Health Institute, Hawaii Children’s Action Network Speaks, Hawaii Food Industry Association, Aloha United Way, and others; witnesses praised the state’s rapid response and said the appropriation would prepare DHS for future emergencies. The committee also heard HB 2168 HD1 and HB 2427 HD1 on education for students experiencing homelessness and unaccompanied homeless youth; the Attorney General recommended technical amendments to avoid conflicts with existing law and to clarify McKinney-Vento-related definitions, while advocates stressed the need for school access, transportation, meals, and other supports for homeless and runaway youth.

Transcript Highlights:

• While existing law mandates that retirees who are eligible for free Medicare must enroll, there remains
• Under such a program, retirees who are 65 and older but not Medicare eligible would be enrolled into
• I am one of the 10,000-plus additional non-Medicare-eligible state retirees who are patiently waiting
• I am one of the 10,000-plus additional non-Medicare-eligible state retirees who are patiently waiting
• We retirees would like to be eligible as well.

Keywords: 995, all

Summary: The Joint Committee on Public Service held a hybrid hearing focused on insurance and retirement-related bills. Representative Hendricks testified in support of H.2874, which would create a Medicare buy-in program for certain state retirees age 65 and older who are not currently Medicare eligible, with the Commonwealth paying Part A premiums and late penalties. He argued the bill would reduce retiree health costs for the state and municipalities while improving benefits for retirees. Don Buckley also testified in support of H.2874, describing his own situation as a long-serving state retiree without Medicare coverage and urging passage of the bill. Paul Jakes of the Professional Fire Fighters of Massachusetts and Michael Riley of the Massachusetts Association of Contributory Retirement Systems testified in support of H.2999/S.1862, which would provide fair worker representation on joint purchasing group committees. Riley also supported H.2933/S.1816, which would add a seat on the PRIM Board for non-state teacher retirement systems, and H.2954/H.1813, which would change the criteria and duration for systems considered underperforming in the public employee retirement system funding rules. He said the changes would better reflect current conditions and limit forced participation in PRIT to five years rather than in perpetuity. Committee members asked no questions during the hearing. After testimony concluded and no additional witnesses came forward, the committee voted to adjourn.

Transcript Highlights:

• THERE ARE AREAS OF THE STATE AND ALSO DIFFERENT TYPES OF PROJECTS THAT WERE NOT INITIALLY ELIGIBLE.
• IT IS AN IMPAIRED WATER BODY AND THE PROJECT IS BENEFITING THE IMPAIRED WATER BODY THEY WILL BE ELIGIBLE
• BECAUSE IT TENDS TO BE A BIT ARE ELIGIBLE FOR THE GRANTS THAT UNDER THE DEP?
• OR ARE YOU ELIGIBLE UNDER FDAX?
• SOMETHING LIKE THAT THEN F DAX CAN IDENTIFY THAT AND THEN THE PROJECT IS SPECIFICALLY IN STATUTE ELIGIBLE

Keywords: 999, senate, all

Transcript Highlights:

• So who’s eligible to receive a sub-grant through this program?
• Not eligible.
• And then we'll tell you whether or not, you know, you're eligible for being funded.
• is being met, and then I largely... ...opportunity and make sure eligibility is being met.
• And then I largely expect that we'll fund all those that are eligible.

Summary: The committee heard extensive public testimony from youth advocates and public health speakers urging action on vaping. Witnesses said flavored products and social media are driving youth use in Arkansas, described nicotine addiction and health harms, and asked lawmakers to prohibit vaping in public indoor spaces, align vape rules with smoke-free laws, and expand prevention efforts. Committee members thanked the speakers and encouraged them to continue building support for future legislation. The main presentation was an overview of Arkansas’s Rural Health Transformation Program, a five-year federal initiative funded through CMS. State officials said Arkansas received about $209 million for the first year and may receive roughly $1 billion over five years if performance is strong. They emphasized that the program is intended for targeted, locally driven transformation rather than general operating support, debt relief, or new construction, and outlined four initiatives: Heart, PACT, Rise, and Thrive, focused on prevention, access and coordination, workforce development, and technology. Officials said applications would open in the spring, with a reimbursement-based process and a goal of launching all four initiatives by June. Members asked detailed questions about eligibility, rural definitions, school gardens, faith-based and nonprofit partnerships, mobile clinics, EMS, behavioral health, residency slots, and whether urban providers serving rural patients could apply. Officials said the program would favor regional collaboration, could support targeted renovations and expansion of existing programs, and would allow residency growth and some equipment or infrastructure purchases, but not food purchases or permanent new construction. They also said a committee of state health and finance officials would review applications, with heavy technical assistance and an expectation of quick turnaround. The committee also reviewed two DHS/Health Department rules. One implemented Medicaid and CHIP coverage and care coordination for eligible incarcerated youth before and after release, including targeted case management and screening services, with no public comments received. The other updated audiology licensing rules to reflect recent acts expanding scope of practice and changing the renewal deadline. Both rules were reviewed without objection, and the committee adjourned.

Transcript Highlights:

• So who’s eligible to receive a sub-grant through this program?
• So if somebody needs funds just to kind of be able to keep the doors open, not eligible.
• So I suppose them trying to expand that program would be eligible. Is that correct? Yes, sir.
• is being met, and then I largely... ...opportunity and make sure eligibility is being met.
• And then I largely expect that we'll fund all those that are eligible.

Summary: The committee first heard extensive public testimony from youth and advocates urging stronger restrictions on vaping. Speakers described vaping as a youth-targeted public health problem, citing flavored products, social media marketing, nicotine addiction, brain development concerns, school disruption, and exposure to harmful aerosol. They recommended prohibiting vaping in public indoor spaces and aligning vape rules with smoke-free laws. Committee members praised the speakers and encouraged them to continue building support for future legislation. The main presentation was on Arkansas’s Rural Health Transformation Program, administered through DFA. Secretary Jim Hudson and program director Brad Andi explained that Arkansas received about $209 million in the first year under the federal program, with potential for roughly $1 billion over five years if performance is strong. They emphasized that the program is meant for long-term rural health transformation, not general operating support, debt relief, or new construction. The state’s plan centers on four initiatives: HEART for prevention and community health, PACT for access and provider collaboration, RISE for workforce development, and THRIVE for technology and telehealth. Officials said applications will be handled through upcoming notices of funding opportunity, with a focus on local, shovel-ready projects, regional collaboration, and transparency. Committee members asked how the program would work for hospitals, clinics, nonprofits, schools, faith groups, and urban providers serving rural patients. Officials said eligibility is broad if applicants can show a connection to rural health, and that targeted renovations, mobile units, school-based clinics, farm-to-school or garden projects, EMS equipment, residency expansion, and behavioral health initiatives may fit if they align with the plan. They stressed that the program cannot fund working capital, routine maintenance, or new buildings, but can support repurposing space and collaborative networks. Members also raised concerns about protecting existing rural providers from being displaced, and officials said applications would be reviewed by a state committee with technical assistance and a reimbursement-based process. The committee then reviewed and took no objection to several DHS and Health Department rules. DHS presented a Medicaid/CHIP rule implementing federal requirements for incarcerated youth, including pre- and post-release coverage, care coordination, targeted case management, and screening services, with no public comments received. The Health Department also presented a licensing rule for audiology and speech pathology that implements recent acts and changes the renewal deadline; that rule was likewise reviewed without objection. The meeting adjourned after no further business.

Transcript Highlights:

• That's where Medicaid presumptive eligibility comes in.
• This expedited process allows for an immediate determination of Medicaid eligibility.
• Minnesota's existing Hospital Presumptive Eligibility (HPE) program for people who think in acronyms
• Chair, Representative Keillor, they would be presumed eligible because of the disability.
• Status that they are assumed to be born with, that they would be eligible for MA.

Transcript Highlights:

• We had an all-day training on some of the policy changes we’re making to make the eligibility process
• <00:25:43.279> uh<00:25:43.440> that making eligibility easier. uh that making eligibility
• Now I think you have it's eligibility.
• the eligibility process and look<00:26:14.320> at<00:26:14.400> it<00:26:14.559> in
• call magi eligibility which is when<00:26:23.440> we<00:26:23.600> look<00:26:23.679><

Keywords: 928, house, all

Summary: The committee met on December 19, 2025, approved the draft minutes from the November 21 regular meeting, and received a DHS commissioners update. Patricia Tilly reported on the state’s rural health transformation application, saying CMS had provided only one question and positive feedback, that the final federal award amount was still pending, and that DHS was preparing an accept-and-expend item for fiscal review using an up-to amount. She also said the new Hampstead YDC facility remains on track, with substantive construction expected by late summer 2026 and move-in likely in early January 2027. In response to questions, she confirmed the playground/outdoor activity area had been in the original design and was added when funding became available. Henry Litman, Medicaid director, discussed the Senate Bill 248 study committee report on palliative and hospice care. He explained the distinction between palliative care, which can be provided while a patient still seeks curative treatment, and hospice care, which involves electing not to pursue curative services. He said the committee’s work pointed to a need for better education for providers and the public, and described ongoing conversations with the Foundation for Healthy Communities and Home Health and Hospice about developing materials and possibly addressing how palliative services are bundled. He also said the study committee itself did not generate future legislation, though members could pursue it separately. Litman then answered questions about Medicaid eligibility and long-term services and supports, including delays in processing, the backlog from pandemic-era redeterminations, and efforts to speed reviews. He said the department is using temporary staffing funded in part by last session’s legislation, working with the New Hampshire Healthcare Association, counties, and UNH Law to streamline policy and training, and relying more on electronic asset verification while still guarding against improper asset transfers. He emphasized the goal of balancing faster access to benefits with compliance and fraud prevention. Robert Rodler followed with the annual tuition waiver update for children in foster care or guardianship. He reported 82 applicants and 65 waivers granted, including 35 for USNH schools and 30 for the community college system, and noted a correction would be issued for inaccurate continuing/new student figures in the report. Senator Gray said he intends to pursue a separate budget appropriation for these tuition waiver costs in the future so the funding would be clearly identified and easier to track. No additional votes were taken beyond approval of the minutes.